MEMBERSHIP FORM

Membership Application Form
INDIVIDUAL MEMBER

Personal Details

Surname:

First name:

Title:

Home base town:

Contact Details:

Address Line 1:

Address Line 2:

Address Line 3:

Post Office:

Postal Code:

Phone:
(Landline)

Fax:

Cell:

Email:

Website:

Skype:

Personal SA ID No

Guide Registration Detail

Tourist Guide Identification Card No:

Validity period
from: to:

Type of Guide:


Culture

Nature

Specialist
(Please tick the applicable box or boxes)

Culture Guides:

Sites or Regions:

Nature Guides:


Local/Site Guide

Intro Guide

Intermediate Guide

Advanced Guide

Area of competence:

Sites or Regions:

Specialist Guide (proof of qualification required):

Tracking:

Level 1

Level 2

Level 3

Area of competence:

Sites or Regions:


Trails Guide - Dangerous Animals

Area of competence:

Sites or Regions:

Adventure and Other Guides Categories:

Area of competence:

Sites or Regions:

Preferred Guiding Language:

1st choice

2nd choice

3rd choice

4th choice

5th choice

6th choice


First aid Certificate expiry date:

Employment Status:


Freelance

Permanent

Own Company

Part Time

Company’s name (if you are the owner):

License and Vehicle Detail

Professional Driving Permit:

Yes

No
(Please tick the applicable box)

Category for which you have a PDP: (insert code e.g. EB, EC1 etc)

Driver/Guide - Number of (Dept of Transport) Registered Vehicles licensed to carry:

Number of Vehicles:

Vehicle Make:

Number of Seats / Pax per vehicle:

Personal Interests

(maximum SIX keywords to assist clients to select the appropriate guide)

 

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